| Collin Hubbard, | |
|
6270 N Government Way, Dalton Gardens, ID 83815 | |
| (714) 658-2705 | |
| Not Available |
| Full Name | Collin Hubbard |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 6270 N Government Way, Dalton Gardens, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780231456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 33528 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | 3471249 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Collin Hubbard, 27562 Seascape Cir, Dana Point, CA 92624-1855 Ph: (714) 658-2705 | Collin Hubbard, 6270 N Government Way, Dalton Gardens, ID 83815 Ph: (714) 658-2705 |
Savannah Lacy Lovitt, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6270 N Government Way, Dalton Gardens, ID 83815 Phone: 208-666-0611 | |
Lauren Alyssa Burgheimer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6270 N Government Way, Dalton Gardens, ID 83815 Phone: 208-666-0611 | |
Mr. Kevin Jon Penner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6270 N Government Way, Dalton Gardens, ID 83815 Phone: 208-666-0611 Fax: 208-664-0566 |